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  • Hey there!

    嗨,你好

  • Welcome to Life Noggin.

    歡迎來到生活小腦袋!

  • Have you ever heard someone say, "I'm so clean. I'm OCD."?

    你有沒有聽人說過「我身上一塵不染,我是強迫症 ( OCD )!」?

  • You might think that having OCD just means being a neat freakbut actually, obsessive-compulsive disorder

    你可能會認為,強迫症只意味著是一個有潔癖的怪胎。實際上,強迫症

  • is a serious ailment that only affects about 2 percent of the population.

    屬一種嚴重疾病,僅影響約全球 2%的人口

  • People with OCD are plagued with unwanted thoughts, behaviors, or mental images that

    OCD患者常被自己不想要的想法、行為和心智圖像所困擾

  • repeat over and over.

    它們會一再一再出現

  • They might feel like objects in a room have to be perfectly aligned, or they may worry

    他們可能認為房間裡的物品必須完全對齊在一條線上,否則可能一廂情願地

  • obsessively about harming others, even if they would never actually do anything.

    擔心會因此傷害到其他人,儘管他們什麼都不做

  • And yes, some people with OCD obsess over germs and cleanliness, but it's different

    是的,有些 OCD 執著於細菌和乾淨度,但是

  • than just wanting your house tidy.

    與要你保持房子清潔,有所不同

  • For those with the disorder, their obsession feels out of their control.

    對於罹患這種病的人來說,他們的執著感,是無法體會到自己控制慾。

  • It can be debilitating, and cleaning won't solve the problem.

    但它可能是很累人的,因為保持清潔無法解決問題根源。

  • The obsessions are typically intertwined with compulsionsrepeated actions the person

    而痴迷常與強迫交纏在一起 -- 反復採取行動,他常常

  • has to do just to function.

    只是為了做而做。

  • If someone is obsessed with germs, they might wash their hands over and over, even after

    如果某些人痴迷於細菌,他們會一遍又一遍地洗手

  • they logically know that they are clean.

    即便他們在邏輯上,已經知道自己是乾淨的。

  • Or if they're obsessed with safety, they might force themselves to check that the doors

    或者如痴迷於安全問題,他們可能會強迫自己,再三檢查門栓

  • are locked and the stove is off dozens of times before they can leave the house.

    是否上鎖,以及一遍又一遍地檢查爐火是否已經熄滅,在離家前

  • They might also feel the need to repeat a certain word, or count all their steps.

    他們也可能會覺得,需要重複特定的一個字,或者算一下自己腳步。

  • Although OCD can take many forms, there are some things that everyone with the disorder has in common.

    儘管 OCD 可以多種形式表現,但罹患這種病每個患者

  • In order to be diagnosed, the obsessions or compulsions must be extremely time consuming

    都有個共通點

  • and take up at least an hour a day.

    為了順利診斷,痴迷或強迫必定是非常耗時的

  • Almost everyone with OCD knows their thoughts aren't logical, but they can't stop themselves.

    每天可能得花上至少一個小時

  • And they usually don't enjoy their compulsionsit's just the only way they can reduce their anxiety and stress.

    幾乎,每個 OCD的人都曉得自己的想法不合邏輯,但他們無法阻止自己。

  • For those suffering, it can hurt to hear others use the term OCD without understanding what

    他們通常不喜歡他們的強制性 -- 而這只是他們可以唯一可以減少

  • it fully means.

    他們的焦慮和壓力的辦法

  • You might say you have OCD because you like things to be organized, but it's a passing

    對於那些患者來說,聽到別人在不了解什麼是「OCD」,卻使用這個術語

  • thought that you could shrug off.

    可能會很受傷

  • Having real OCD means not being able to let go of those thoughts.

    你可能會說自己有 OCD,因為你喜歡事情有條不紊,但這想法常是

  • Lots of studies have shown that those with OCD actually have slightly different brain

    一閃即過,可以不當成一回事

  • function than those without.

    真正的OCD意味著,無法放棄這些想法

  • Although scientists are still learning how the disorder works, many think it has to do

    大部分的研究顯示,罹患OCD的人,腦部實際上有些微

  • with changes in a circuit of the brain called the corticostriatal pathway, which regulates

    功能上的差異,比起正常人

  • habit and repeated action.

    儘管科學家們仍在了解這類疾病的運作,但許多人認為它必定與

  • Recent studies have focused on trying to find medications that bind to receptors in that pathway.

    腦中稱為皮質神經節細胞通道的迴路改變有關,而它們原本

  • If the studies are successful, they may be able to develop medications that specifically target OCD symptoms.

    都在規範習慣和重複性行動

  • This would be a huge leap forward.

    近期研究則集中於試圖找到與受體結合的藥物

  • Currently, doctors typically prescribe general antidepressants for OCD.

    在通道中

  • They also recommend behavioral therapy.

    如果研究成功,他們就有能力開發藥物

  • This includes exposure therapy, where patients are carefully exposed to fearful situations

    具體鎖定 OCD 的症狀

  • without being allowed to act on their compulsions.

    這將會是向前大躍進

  • For the small amount of people who don't respond to either drugs or therapy, there

    目前,醫生常為 OCD 開出一般抗抑鬱藥

  • are more invasive procedures.

    他們還推薦行為療法

  • Around 300 people have undergone something called DBS, or deep brain stimulation, which

    其中包括暴露治療,患者被精心暴露在可怕的情境

  • is when electrodes are implanted in the brain to control impulses in some of the corticostriatal regions.

    不得回應自身的強迫性

  • When the electrodes are activated, they cause the brain of someone with OCD to have the

    對於那些藥物或治療都不起反應的少數人

  • same neural activity as someone without.

    則實施更侵入性的程序

  • The treatment has been a huge success.

    大約已有300人經歷稱為 DBS 治療,或稱深層腦刺激

  • Almost all DBS patients say the procedure improved their mood and self-confidence, and

    亦即將電極植入腦中,以控制某些皮質紋狀體區域中的脈衝

  • most regained a normal quality of life.

    當電極被啟動時,它們會使 OCD 患者的大腦中

  • Although OCD can be debilitating, these types of treatments offer hope that one day soon,

    產生與正常人相同的神經活動

  • everyone with the disorder will be able to find relief and take back control of their life.

    這種治療方式非常成功

  • I hope you gain a better understanding of OCD,

    幾乎所有 DBS 的病人都說這個療程,已改善他們的心情和自信

  • And let me know in the comment section below

    多數人也恢復正常生活品質

  • what other science topic you would like us to talk about?

    儘管 OCD 可能讓人元氣大傷,但這些治療也帶來希望,希望有一天

  • If you enjoyed this video, then you should definitely watch our video

    每名患者都能夠找到救濟並且拿回自己生活的控制權

  • where we tackle the question - can you have more than one personality?

    希望你有更了解強迫症

  • Check it out.

    在以下的評論欄讓我知道

  • To get this disorder, you have to have two or more identities

    你還想知道什麼其他科學主題

  • that can take control of your behavior,

    如果你喜歡這支影片,那一定要看我們的另一支影片

  • and they have to have different memories and feelings itself.

    在探討一個問題,你能有多重的性格嗎?

  • There are only a few people who have actually been documented with this psychological condition

    來看看吧

  • But you've probably heard of it thanks to movies and television.

    要得到這種疾病,你必須要有兩個以上的人格

  • My name is Bloco, this has been Life Noggin

    能夠控制你的行為

  • Don't forget to keep on thinking

    而且他們必須要有不同的記憶與感情

Hey there!

嗨,你好

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B1 中級 中文 美國腔 強迫症 患者 治療 藥物 皮質 正常人

你有沒有強迫症!!? (You Probably Don't Have OCD, And This Is Why)

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    Steven Sou 發佈於 2017 年 08 月 24 日
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